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1477108959
MUSTAFA SALAM
CHICAGO, IL
NPI
1477108959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.032297)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
Dr. MUSTAFA SALAM DMD
2836 W DEVON AVE
CHICAGO, IL 60659-1513
Phone number: 773-787-9462
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Mailing Address
Dr. MUSTAFA SALAM DMD
5246 FARGO AVE
SKOKIE, IL 60077-3207
Phone number: 773-787-9462
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